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Nursing home report

Avir at Tierra Este

EL PASO, TX · Medicare-certified · 120 beds

Needs attention
For-profitChain member
1 of 5 overall

Avir at Tierra Este (El Paso, TX) has an overall rating of 1 out of 5 stars, with a 1-star staffing rating and reported nurse staffing below the federal benchmark (3.03 vs. 4.1 hours per resident per day). It has no fines in the last 24 months, but it carries the lowest overall rating and recent inspection citations included care planning, accident hazards/supervision, and RN coverage/director of nursing requirements.

Facility ratings

Health inspections

Staffing

3.0299 hrs/resident/day

Quality measures

Last inspection: January 15, 2026Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0299.

Staffing detail

Registered nurses
0.21
Licensed practical nurses
0.95
Nurse aides
1.87
Weekend nursing
2.77

Hours per resident per day.

Total staff turnover: 60%
Registered nurse turnover: 100%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

27.1%26.8%No change

Residents with a fall causing major injury

0%3.4%Worsening

Residents with pressure ulcers (bedsores)

11.3%6.1%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

1.5%0%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

22.9%10.3%Improving

Residents whose ability to walk got worse

11.3%7.5%Improving

Long-stay residents on antianxiety or sleep medication

28.6%26.7%Improving

Short-stay residents newly given an antipsychotic

6.7%2.6%Improving

Residents with a long-term catheter

2.1%0%Improving

Residents with new or worsening incontinence

27.9%18.5%Improving

Residents with depressive symptoms

4.3%1.3%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

80.2%

Long-stay residents given the pneumonia vaccine

91.2%90.8%No change

Short-stay residents given the seasonal flu vaccine

89.6%

Short-stay residents given the pneumonia vaccine

93.3%47.7%Worsening

What the inspectors found

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited November 2023 — isolated incident, actual harm.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2023 — isolated incident, actual harm.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: G

The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited April 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 727 — 42 CFR §483.35 — S/S: F

The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited August 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 921 — 42 CFR §483.90 — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 7 fines · $31,752 in total fines.

  • Federal fine

    Feb 20, 2024

    $4,178
  • Federal fine

    Feb 12, 2024

    $3,798
  • Federal fine

    Jan 22, 2024

    $9,116
  • Federal fine

    Jan 8, 2024

    $2,279
  • Federal fine

    Jan 2, 2024

    $1,764
  • Federal fine

    Dec 11, 2023

    $3,174
  • Federal fine

    Nov 9, 2023

    $7,443

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
Occupancy
100.3 residents on an average day (84% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 3 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.